Clinic
Midmichigan Health Services
Midmichigan Health Services was paid $10.66M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is G0467, community health center visit, returning patient — 51% of everything it billed.
33Billing provider infoMIDMICHIGAN HEALTH SERVICES
HOUGHTON LAKE, MI 48629
HOUGHTON LAKE, MI 48629
33aNPI1912998287assigned 11/04/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.66M
24GClaims312,441
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#8 of 241
Median peer was paid$477K
This provider vs. median22×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 30,516 | $816K | |
| 2019 | 32,715 | $859K | |
| 2020 | 38,406 | $1.04M | |
| 2021 | 46,135 | $1.35M | |
| 2022 | 53,393 | $1.81M | |
| 2023 | 59,810 | $2.35M | |
| 2024incomplete | 51,466 | $2.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 51% | 98,937 | 79,675 | $5.39M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 22% | 11,274 | 7,065 | $2.35M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 8.4% | 15,187 | 8,329 | $899K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 59,619 | 50,822 | $610K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.6% | 5,910 | 5,888 | $381K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.5% | 25,628 | 22,673 | $371K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 10,727 | 6,008 | $101K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,854 | 1,852 | $46K |
| 80305 | <1% | 12,777 | 8,359 | $45K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,552 | 1,552 | $36K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 486 | 486 | $35K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,337 | 2,331 | $30K |
88 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,217 | $29K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,231 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,194 | $25K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,308 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,149 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,606 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,300 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,221 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,482 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,165 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 679 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,727 | $12K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,860 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,498 | $10K |
| 99000 | <1% | 953 | $10K | |
| 87428 | <1% | 602 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 670 | $8K |
| 0012A | <1% | 192 | $7K | |
| 90686 | <1% | 2,860 | $7K | |
| 0011A | <1% | 201 | $7K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 322 | $6K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 234 | $5K |
| 90673 | <1% | 115 | $4K | |
| 81025 | <1% | 1,996 | $4K | |
| 90715 | <1% | 760 | $3K | |
| 0064A | <1% | 99 | $3K | |
| 81003 | <1% | 5,116 | $3K | |
| 91322 | <1% | 47 | $3K | |
| 0124A | <1% | 91 | $3K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 400 | $2K |
| 93000 | <1% | 796 | $2K | |
| 90677 | <1% | 368 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 122 | $2K |
| 90480 | <1% | 53 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 75 | $2K |
| 90651 | <1% | 589 | $1K | |
| 73630 | <1% | 205 | $1K | |
| 90474 | <1% | 405 | $987.50 | |
| 90620 | <1% | 113 | $923.80 | |
| 0071A | <1% | 31 | $908.40 | |
| 90670 | <1% | 853 | $819.00 | |
| 99381 | <1% | 26 | $741.45 | |
| 87807 | <1% | 325 | $728.21 | |
| 90837 | Psychotherapy session, about an hour | <1% | 26 | $720.56 |
| 0072A | <1% | 16 | $605.60 | |
| 87420 | <1% | 222 | $587.52 | |
| 0001A | <1% | 16 | $567.75 | |
| 99382 | <1% | 19 | $560.16 | |
| 99383 | <1% | 15 | $457.30 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 46 | $407.47 |
| 73610 | <1% | 51 | $348.75 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 42 | $348.60 |
| 90656 | <1% | 156 | $335.25 | |
| 74019 | <1% | 84 | $313.97 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 235 | $267.32 |
| 72110 | <1% | 15 | $228.24 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 34 | $165.24 |
| 90734 | <1% | 544 | $128.85 | |
| 90473 | <1% | 63 | $123.32 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 45 | $121.20 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 41 | $85.62 |
| 73564 | <1% | 13 | $82.02 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 34 | $65.91 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 27 | $46.92 |
| G0008 | Administration of influenza virus vaccine | <1% | 148 | $38.50 |
| 96160 | <1% | 157 | $17.80 | |
| 86308 | <1% | 13 | $17.16 | |
| 99442 | <1% | 26 | $15.45 | |
| 90723 | 0% | 770 | $0.00 | |
| 90680 | 0% | 524 | $0.00 | |
| 99024 | 0% | 900 | $0.00 | |
| 91301 | 0% | 507 | $0.00 | |
| 91306 | 0% | 91 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 581 | $0.00 |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 0% | 398 | $0.00 |
| 90696 | 0% | 57 | $0.00 | |
| Q9991 | Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg | 0% | 123 | $0.00 |
| 91305 | 0% | 14 | $0.00 | |
| 91307 | 0% | 68 | $0.00 | |
| 90710 | 0% | 69 | $0.00 | |
| 90648 | 0% | 1,003 | $0.00 | |
| 90633 | 0% | 446 | $0.00 | |
| 91312 | 0% | 71 | $0.00 | |
| 91300 | 0% | 106 | $0.00 | |
| 82075 | 0% | 29 | $0.00 | |
| 90662 | 0% | 26 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90685 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRASCHKE, JAMES (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Midmichigan Health Services | Beaverton, MI | $762K |
| Midmichigan Health Services | Midland, MI | $17K |
| Midmichigan Health Services | Harrison, MI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.